Offer summary

Qualifications:

Experience in prior authorization processes within a medical, dental, or insurance setting., Familiarity with commercial insurance plans, Medicare, and Medicaid coverage guidelines., Strong attention to detail and excellent communication skills., Proficiency in electronic medical records (EMRs) or practice management systems..

Key responsibilities:

Coordinate and complete insurance prior authorizations for medications and medical procedures.

Communicate with insurance companies to verify benefits and resolve authorization issues.

Review patient charts to ensure completeness of information for prior authorization submission.

Maintain accurate records of all authorizations and update healthcare providers and patients on their status.

Job description

Company: Health Express Clinics, Texas, USA

Location: Remote

Position Overview:

Health Express Clinics is seeking a detail-oriented and proactive Prior Authorization Virtual Assistant to join our growing team. This remote position plays a vital role in supporting physicians and patients by coordinating and submitting insurance prior authorizations for medications, imaging, and procedures. The ideal candidate will have a strong background in medical administration, prior auth processes, and excellent communication and organizational skills.

Responsibilities:

Coordinate and complete insurance prior authorizations for medications, diagnostic imaging (MRI, CT, ultrasound), and medical procedures.
Communicate with insurance companies to verify benefits, obtain pre-certification, and resolve authorization issues.
Review patient charts and clinical documentation to ensure completeness of information required for prior authorization submission.
Follow up with payers and providers to track the status of submitted authorizations.
Maintain accurate records of all authorizations in EMR or practice management software.
Update healthcare providers and patients on the status of their prior authorizations in a timely manner.
Assist in denial management by identifying causes for rejected authorizations and coordinating appeals if necessary.
Uphold patient privacy and HIPAA compliance in all communications and data handling.

Qualifications:

Required: Experience in prior authorization processes within a medical, dental, or insurance setting.
Familiarity with commercial insurance plans, Medicare, and Medicaid coverage guidelines.
Strong attention to detail and ability to manage multiple authorization requests simultaneously.
Excellent verbal and written communication skills.
Proficiency in electronic medical records (EMRs) or practice management systems.
Ability to work independently with minimal supervision in a remote work environment.
Strong organizational and time management skills.

Preferred Qualifications: (Optional – remove if not needed)

Certification or coursework in medical office administration or billing and coding.
Experience using eFax, secure messaging, and payer-specific online portals.
Bilingual in English and Spanish or another commonly spoken language in healthcare.

Technical Requirements:

Operating System: Windows 10 Pro (32/64-bit) – Genuine
CPU: Intel Core i5 8th Gen or higher / AMD equivalent
RAM: Minimum 8GB
Power Backup: UPS or Generator preferred
Internet Speed: Minimum 50 Mbps (DSL/Fiber only; LTE not accepted)
Headset: USB headset with microphone (e.g., Plantronics Audio 628 recommended)
Webcam: HD 720p/1080p (e.g., A4Tech PK-910H recommended)
Monitor: External monitor (17", 19", or 22")

Benefits:

Independent Contractor position
Compensation: $5/hr (first 3 months), increasing to $6/hr after
CST/PST/EST work schedule
HMO provided after 6 months of service

How to Apply:

DO NOT APPLY IF YOU DO NOT MEET THE TECHNICAL REQUIREMENTS

Submit your updated resume

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